| NPI | 1164541736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES K BECKER Exective Director 970-221-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CO 1531089) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |